Individual
KEELY JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D
Contact information
Practice address
2529 S KELLY AVE STE B, EDMOND, OK 73013-2976
(405) 454-8016
(405) 583-4963
Mailing address
2529 S KELLY AVE STE B, EDMOND, OK 73013-2976
(405) 454-8016
(405) 583-4963
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1418
OK
Other
Enumeration date
10/18/2022
Last updated
03/23/2026
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